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Improving prevention of vascular events in Leeds Allan House & Kate Hill CLAHRC Vascular Theme Leeds Institute of He

Improving prevention of vascular events in Leeds Allan House & Kate Hill CLAHRC Vascular Theme Leeds Institute of Health Sciences. Improve Partnerships. EPAP: Online training for PPI. Healthy Living Centre Evaluation. HAMARA. ELF. Local partnership Groups. Patient & Public Involvement.

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Improving prevention of vascular events in Leeds Allan House & Kate Hill CLAHRC Vascular Theme Leeds Institute of He

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  1. Improving prevention of vascular events in Leeds Allan House & Kate Hill CLAHRC Vascular Theme Leeds Institute of Health Sciences

  2. Improve Partnerships EPAP: Online training for PPI Healthy Living Centre Evaluation HAMARA ELF Local partnership Groups Patient & Public Involvement Pudsey Wellbeing Centre IMPROVE Leeds City Council Health Checks & Lifestyle studies LYB CLAHRC Vascular Theme Healthwatch GPs NHS Leeds York Leeds Dental Inst. BBC CLAHRC Dental Lifestyle Study LTHT Learning Events CR LNR CLAHRC GM CLAHRC TPP Data Linkage E-Referrals PH WYCN Solus HHT Trial

  3. Improve Work Strands Reviews: Main barriers and facilitators to lifestyle change Qualitative studies: Exploring experiences of health checks and delivery of lifestyle change Q-sort: Attitudes of staff towards delivery of health check with focus on health equalities Development of an evaluation framework for Healthy Living Centres

  4. Tailoring lifestyle referrals….. • Evidence synthesis – revealed 5 factors influencing uptake of lifestyle behaviour change: • Emotions • Knowledge • Support from family & friends • Transport & cost • Beliefs • Development of algorithm - shift from ‘one size fits all’ to tailored approach (based around the needs of patients) to help staff match patient need with service response at the point of referral to lifestyle support • Qualitative studies reveal interpersonal and organisational factors that impact on the delivery of lifestyle advice and uptake of behaviour change.

  5. Using research to improve population health Inform the delivery of vascular healthcare and improve prevention of vascular events Pilot RCT: Lifestyle Referral Assess-ment Reviews: Main barriers and facilitators to lifestyle change Qualitative studies: Exploring experiences of health checks and delivery of lifestyle change Training & Service develop-ment Q-sort: Attitudes of staff towards delivery of health check with focus on health equalities Development of an evaluation framework for Healthy Living Centres

  6. What lessons have we learned.....? • Re-structuring of Primary Care • Flexibility to respond to changing landscape • NHS versus academic pace • Reconciling incompatible expectations and systems • CLAHRC funding streams • New partnerships; new projects but how to sustain? • Political awareness

  7. Challenges for research and care....? • To think differently about how we conceptualise care • To build integrated care networks • To coordinate them for healthcare and research • To develop ways of evaluating their impact/effectiveness

  8. Communication Networks in Acute Stroke Care and Rehabilitation

  9. What next…..? • A definitive trial based on the findings of the Improve and the addictions theme (ARiAS) pilot work • Lifestyle support services – improving promotion of long-term maintenance of lifestyle behaviour change • Lifestyle support in dental practice • Gendered ageism and cardiovascular prevention • Data linkage • Develop and study care networks in pilot centres CLAHRC

  10. The Improve Team Thank you to all our partners For more information contact: k.m.hill@leeds.ac.uk or j.y.murray@leeds.ac.uk

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